| NPI | 1932337110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE BOURBEAU Physical Therapist Assistant 603-627-3811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NH 910) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2009-06-26 |